This article presents a case of bilateral triceps tendon rupture, as well as a case cohort series of 16 patients with acute ruptures of the triceps treated surgically from a single institution. Results of their study demonstrate success with repair of the triceps tendon using non-absorbable sutures in a running locked fashion through drill holes in the olecranon angling. The tendons were repaired with the arm in slight flexion for tensioning. At two-year follow-up, the patients had a full arc of motion in both elbows and comparable elbow extension strength. In their retrospective review of the literature, the minimal discussion of steroid use was noted. The literature would suggest that the majority of patients regain adequate strength..
Although the incidence of triceps ruptures at the elbow are significantly less than that of the biceps tendon, they do occur and are probably under diagnosed. When the central tendon tears from the olecranon, patients can continue to extend their elbows through the fascia and retinaculum medial and lateral to the ulna. Also, elbow extension strength is less important for upper extremity function than flexion strength.. There is a paucity of literature on acute ruptures of the triceps tendon at the elbow. This review provides some information on expected results following a repair of the triceps tendon back to bone.
Triceps, Tendon, Elbow, Rupture
Journal of Shoulder and Elbow Surgery